<div class="form-group">
	<div class="row">
		<div class="col-md-4">
			<label for="" class="control-label">提单号</label>
			<input type="text" class="form-control" id="customsDeclaration" name="customsDeclaration" placeholder="请输入提单号" required>
		</div>
		<div class="col-md-4">
			<label for="" class="control-label">柜号</label>
			<input class="form-control" name="cabinetNo" id="cabinetNo" placeholder="请输入柜号" required>
		</div>
		<div class="col-md-4">
			<label for="" class="control-label">封号</label>
			<input class="form-control" name="fenghaoNo" id="fenghaoNo" placeholder="请输入封号" required>
		</div>
	</div>
</div>

<div class="form-group">
	<div class="row">		
		<div class="col-md-4">
			<label for="" class="control-label">柜型</label>
			<input class="form-control" id="cabinetType" name="cabinetType" placeholder="请输入柜型">
		</div>
		<div class="col-md-4">
			<label for="" class="control-label">港口</label>
			<input class="form-control" id="port" name="port" placeholder="请输入港口">
		</div>
		<div class="col-md-4">
			<label for="" class="control-label">客户</label>
			<input class="form-control" id="custom" name="custom" placeholder="请输入客户">
		</div>
	</div>
</div>

<div class="form-group">
	<div class="row">
		<div class="col-md-4"><label for="" class="control-label">拖车行费用（元）</label>
			<input class="form-control" id="trailerCost" name="trailerCost" placeholder="请输入拖车费用">
		</div>
		
		<div class="col-md-4"><label for="" class="control-label">客户拖车费用</label>
			<input class="form-control" id="trailerPayCost" name="trailerPayCost" placeholder="请输入客户拖车费用">
		</div>
		<div class="col-md-4"><label for="" class="control-label">拖车公司</label>
			<input class="form-control" id="trailerCompany" name="trailerCompany" placeholder="请输入拖车公司">
		</div>
	</div>
</div>
<div class="col-md-12">
	<label class="error-tip">费用输入格式为（500.00或500）</label>
</div>
<div class="form-group">
	<div class="row">	
		<div class="col-md-4"><label for="" class="control-label">其它费用（元）</label>
			<input class="form-control" id="otherCost" name="otherCost" placeholder="请输入其他费用">
		</div>
		<div class="col-md-4"><label for="" class="control-label">报关行费用（元）</label>
			<input class="form-control" id="customsDeclarationCost" name="customsDeclarationCost" placeholder="请输入费用">
		</div>
		
		<div class="col-md-4"><label for="" class="control-label">客户报关费用（元）</label>
			<input class="form-control" id="customsDeclarationPayCost" name="customsDeclarationPayCost" placeholder="请输入其他费用">
		</div>
	</div>
</div>
<div class="form-group">
	<div class="row">
		<div class="col-md-4"><label for="" class="control-label">报关行</label>
			<input class="form-control" id="customhouseBroker" name="customhouseBroker" placeholder="请输入报关行">
		</div>
		<div class="col-md-4"><label for="" class="control-label">其他备注</label>
			<input class="form-control" id="otherMessage" name="otherMessage" placeholder="请输入其他备注">
		</div>
		<div class="col-md-4">
			<label for="" class="control-label">报关状态</label>
			<select id="customsDeclarationStatus" name="customsDeclarationStatus" class="form-control">
				<option value="0">预定</option>
				<option value="1">已报检</option>
				<option value="2">海关查验</option>
				<option value="3">放行</option>
			 </select>
		</div>
	</div>
</div>
<div class="pull-right">
	<button type="button" class="btn btn-default" onClick="javascript:history.back(-1);">取消</button>
	<button type="submit" class="btn btn-success" disabled>保存</button>
</div>